AOA Letter on AHCA Revisions

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This letter was sent to U.S. House of Representatives Speaker Paul Ryan; and U.S. House of Representatives Minority Leader Nancy Pelosi.

CHICAGO- April 27, 2017- Our organizations, which represent over 560,000
physicians and medical students, remain concerned with ongoing efforts
that in our view could destabilize our nation’s health care system. We
believe that pending legislation proposals would dramatically increase
costs for older individuals, result in millions of people losing their
health care coverage, and return to a system that allows for discrimination against people with
pre-existing conditions. We are especially concerned about the changes
to Medicaid and Medicaid financing contained within AHCA.

Our members are the frontline physicians who provide physical and mental health care services to millions of men, women, and children each day. They provide care to children, the aged, those with chronic conditions, people battling substance use disorders, and the many individuals who are seeking prevention and wellness services in an attempt to be healthier. Our members see firsthand the important role that health care coverage and access to affordable, high quality care plays in people’s lives and their pursuit of better health and well-being. They also recall those days when patients faced discrimination based on their age, gender, or health conditions, and remember when those with mental and behavioral health needs were denied coverage.

This experience with the health care system is why our organizations strongly oppose the compromises that have been recently reported. These compromises are built on the flawed foundation of the American Health Care Act (AHCA), which would result in millions of Americans and, according to the CBO, over 7 million with employer-sponsored insurance, losing their coverage.

Further, these compromises would allow individual states to obtain waivers to opt-out of important benefit and patient protection provisions in current law. Under the proposed “Limited Waiver” authority, insurers in such states would once again be allowed to charge unaffordable premiums to people with pre-existing conditions based on their individual health risks, and decline to cover ten categories of essential services including prescription drugs, physician and hospital visits, preventive services, and mental and behavioral health benefits. We are especially concerned that these changes would:

Allow insures to deny millions of people facing addiction access to treatment and therapy, when such services are needed more than ever to address the opioid epidemic in the United States.

Make health care even more expensive and further reduce access to care for millions, especially those over the age of 50;

Force individuals with multiple chronic conditions into underfunded state-sponsored high risk pools, which have been proven ineffective numerous times;

Allow for gender rating by enabling states to opt out of maternity care coverage.

We urge Congress to reject these “compromises” and instead focus on enacting policies that improve upon current law, thus ensuring that more people have access to affordable health care coverage. Our organizations have provided several recommendations on how current law could be improved to accomplish these goals. A few of those recommendations are:

Ensure that coverage remains affordable by maintaining premium and cost-sharing subsidies available under current law.

Stabilize the individual market.

Take immediate action to provide long-term, adequate funding for the CHIP program.

Identify and implement policies that make primary, preventive, and mental health more readily available to all Americans.

Identify and implement policies that lower costs for individuals and families, especially the costs of pharmaceutical treatments.

Reform our medical liability laws.

Reduce the administrative and regulatory burdens that add costs and inefficiencies to our delivery and insurance systems, and take away valuable time for us to care for our patients.

We recognize that our health care system is not perfect and reforms are needed. Our organizations and our members stand ready to work with Congress and the Administration to improve our health care system. However, we urge Congress to reject the AHCA and instead focus on the implementation of policies that aim to improve our health care system versus those that seek to destabilize it and would make quality health care less available to millions of Americans.

Sincerely,

American Academy of Family Physicians

American Academy of Pediatrics

American College of Physicians

American Congress of Obstetricians and Gynecologists

American Osteopathic Association

American Psychiatric Association

About the American Osteopathic Association

The American Osteopathic Association (AOA)
represents more than 129,000 osteopathic physicians (DOs) and
osteopathic medical students; promotes public health; encourages
scientific research; serves as the primary certifying body for DOs; and
is the accrediting agency for osteopathic medical schools. More
information on DOs/osteopathic medicine can be found at www.osteopathic.org.